NPIMap

Organization Active NPI

Elk City Surgical Center

  • Specialist
  • Elk City, OK
National Provider Identifier
1538224944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24293 Issued in OK
Legal business name
ELK CITY SURGICAL CENTER
Practice address
1800 W 1St St
Suite 3
Elk City, OK 73644-3133
Phone
(580) 225-4699
Fax
(580) 243-6823
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Francis Abraham, MD
Title
Owner
Phone
(580) 225-4699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 24293 OK Primary

Addresses

Primary practice location

1800 W 1St St
Suite 3
Elk City, OK 73644-3133

Mailing address

1800 W 1St St
Suite 3, P O Box 40
Elk City, OK 73644-3133
Phone (580) 225-4699

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538224944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 3, P O BOX 40",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-225-4699",
            "fax_number": "580-243-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 3",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-225-4699",
            "fax_number": "580-243-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK CITY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-225-4699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "24293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.